ipac application

We are very excited that you are interested in joining us for iPac 2019. The first step that we ask you to take is to answer the questions below. Once we are able to review your application, we will send you a link to officially register and pay the deposit for the trip. *Please note: Filling out this application does not register you for iPac.

Student Name *

Student Name

First Name

Last Name

Student Gender *

Male

Female

Student Grade (entering Fall 2019) *

Parent Email Address *

Student Email Address

Student Cell Phone Number *

Student Cell Phone Number

(###)

###

####

Small Group Leaders *

How many other iPac trips have you been on? *

What do you feel to be the most valuable thing that you can contribute? *

Describe your relationship with Jesus. *

Please verbalize three growth goals that you desire to reach. *

Please list three goals that your parents/guardians have for you. *

Why do you want to go on this iPac trip? *

What about the trip concerns you most? *

What questions do you have? *

Thank you for filling out this form. Someone will be in contact with you in the next few days. Just a reminder: filling out this application was not your official registration. Keep an eye on your email for the official registration link. If you have any questions email: students@parkerhill.org